Journal: Arthroscopy Techniques

Article Title: Two Scope Portals in Simple Acromioclavicular Joint Type III Injury

doi: 10.1016/j.eats.2025.103536

Figure Lengend Snippet: Intraoperative photographs detailing minimally invasive arthroscopic treatment of isolated Rockwood type III acute acromioclavicular dislocation in left shoulder of male patient via Dog Bone Button. The arthroscopic steps are as follows: (A) Through the anterolateral portal, the inferior surface of the coracoid is visualized. By use of the Serfas vaporizer instrument introduced through the anteroinferior portal, the inferior surface is skeletonized, exposing it as much as possible. (B) Visualization of inferior surface of coracoid from anteroinferior portal. (C) Visualization of inferior surface of coracoid from anteroinferior portal, followed by skeletonization of inferior surface using Serfas vaporizer instrument through anterolateral portal. (D) Visualization of inferior surface of coracoid from anteroinferior portal, with skeletonization of inferior surface using 4.0-mm powered shaver (Stryker) through anterolateral portal. (E) Palpation of medial margin of coracoid with probe (Stryker) introduced through anterolateral portal, with visualization from anteroinferior portal. (F) Palpation of medial margin of coracoid using the extremity of acromion Arthrex compass at 90° angle through anterolateral portal, with visualization from anteroinferior portal. (G) Visualization of drill insertion from anteroinferior portal, performed with Arthrex compass and drill, both introduced through anterolateral portal. (H) Passage of SutureLasso SD Wire Loop through Arthrex cannulated drill, visualized from anterolateral portal. (I) Retrieval of SutureLasso SD Wire Loop from Arthrex cannulated drill, correctly positioned at inferior surface of coracoid base. This is visualized from the anterolateral portal, and retrieval is performed with an arthroscopic grasper (Stryker) through the anteroinferior portal. (J) After loading the 2 FiberTape sutures of the Dog Bone Button onto the SutureLasso, the SutureLasso is retrieved, thereby pulling the 2 FiberTape sutures of the Dog Bone Button through the coracoid. This step is visualized from the anterolateral portal, with the FiberTape sutures being inserted through the anteroinferior portal. (K) Visualization of Dog Bone Button in vertical position on inferior surface of coracoid from anterolateral portal. (L) Visualization of Dog Bone Button properly positioned at inferior surface of coracoid base from anterolateral portal.

Article Snippet: The trocar is removed from the drill, and a SutureLasso SD Wire Loop (Arthrex) is passed through the drill cannulation loop and then retrieved through the anteroinferior portal, viewing through the anterolateral portal.

Techniques: Isolation

Journal: Arthroscopy Techniques

Article Title: Autologous Long Head of Biceps Tendon With High-Strength Suture for Reconstruction of Coracoclavicular Ligament

doi: 10.1016/j.eats.2025.103465

Figure Lengend Snippet: Shuttle loop preparation and graft passage for reduction. (A) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. A nitinol wire shuttle loop with a passing hook (Arthrex) is cautiously placed close to the medial cortex of the coracoid base to avoid nerve injury. (B) Outside view of left shoulder with patient in beach-chair position. A FiberTape (white arrow) along with the long head of the biceps tendon (LHBT) graft (black arrow), in a venae comitantes fashion, is dragged into the subacromial space. The green arrows indicate the shuttle loop, and the yellow arrows indicate the epidural needles. (C) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. Passage of FiberTape with 1 tail suture (“string”) of LHBT under base of coracoid. (D) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. Passage of FiberTape along with LHBT around base of coracoid using shuttle loop. (E) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. The grafts loop around the coracoid base. (F) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. The 2 ends of the grafts are crossed and form an X shape within the coracoclavicular interval. The stars indicate the coracoid base.

Article Snippet: Under arthroscopic visualization, a nitinol wire shuttle loop is passed around the base of the coracoid from medial to lateral with a passing hook (AR-7806; Arthrex), which is cautiously placed close to the medial cortex of the coracoid base to avoid nerve injury ( A).

Techniques: